Patient-centred care and cultural competency

Learning outcomes

  1. Identify and make judgments about patient-centred care
  2. Be able to describe and defend what it means for pharmacists to be culturally competent

Engagement tasks

  1. Patient-centred care task: Annie, Leanne, Aaron

What is patient-centred care?

Provide the best 1–3 word descriptors of patient-centred care

Providing care that is respectful of and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions (Institute of Medicine, 2001)

Havi Carel, Illness

Empathy. If I had to pick the human emotion in greatest shortage, it would be empathy. And this is nowhere more evident in illness. The pain, disability and fear are exacerbated by the apathy and disgust with which you are sometimes confronted when you are ill.

Royal Commission into Aged Care Quality and Safety, Interim Report (2019):

We have uncovered an aged care system that is characterised by an absence of innovation and by rigid conformity. The system lacks transparency in communication, reporting and accountability. It is not built around the people it is supposed to help and support, but around funding mechanisms, processes and procedures. This, too, must change.

Patient-centred care engagement task

Cultural competency

Belton, S., Kruske, S., Jackson Pulver, L., Sherwood, J., Tune, K., Carapetis, J., Vaughan, G., Peek, M., McLintock, C., & Sullivan, E. (2018). Rheumatic heart disease in pregnancy: How can health services adapt to the needs of Indigenous women? A qualitative study. Australian and New Zealand Journal of Obstetrics and Gynaecology, 58(4), 425–431. https://doi.org/10.1111/ajo.12744

Discrimination

Cultural competence continuum

Patient-centred labels

Ahpra Shared code of conduct

Ahpra Shared Code of Conduct advanced copy (in effect from 29 June 2022)

References

Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. National Academies Press (US).